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Individual

KELLI MILES CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
260201
KY
1041C0700X
Clinical Social Worker
Primary
34010166A
IN
1041C0700X
Clinical Social Worker
C016990
NC

Other

Enumeration date
11/05/2020
Last updated
04/13/2026
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